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双相障碍共病代谢综合征现状、危险因素及认知功能分析

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目的 探讨双相情感障碍共病代谢综合征(Metabolic syndrome,MS)的发生情况,分析其危险因素,以及MS对认知功能的影响.方法 选取2020年5月~2023年6月期间诊治的106例双相情感障碍患者为研究对象,将共病MS者纳入观察组,未共病MS者纳入对照组,比较两组患者的一般资料,分析共病MS的危险因素,同时比较两组患者的蒙特利尔认知评估量表(Montreal cognitive assessment,MoCA)评分.结果 本研究106例双相情感障碍患者中有40例患者合并MS,双相情感障碍共病MS的发生率为37.74%;观察组与对照组在年龄、性别、饮酒史、吸烟史、诊断分型以及心境稳定剂、抗精神病药比较无显著差异(P>0.05);与对照组比较,患者糖尿病家族史比例、用药种类指标在观察组更高(χ2=7.799,t=9.704,P均<0.05).Logistic回归分析结果显示,患者的糖尿病家族史、用药种类是双相情感障碍共病MS的独立危险因素.观察组的MoCA量表中视空间与执行功能得分及总分均显著低于对照组,差异有统计学意义(t=6.227,3.158,P均<0.05).结论 双相情感障碍共病MS发生率较高,患者的认知功能也更差;糖尿病家族史、用药种类则成为双相情感障碍共病MS的独立危险因素.
Analysis of the status quo,risk factors and cognitive function of metabolic syndrome with bipolar disorder
Objective To explore the comorbid metabolic syndrome(MS)in bipolar disorder rate and risk fac-tors,and the impact of MS on cognitive function.Methods From May 2020 to June 2023,106 cases of patients with bipolar disorder were selected as the study subjects.Patients comorbid MS were included into the observation group,while those without comorbid MS were included into the control group.The general information was compared between the two groups,and the risk factors for comorbid MS were analyzed.In the two groups,the MoCA scores were com-pared.Results Among the 106 patients with bipolar disorder,40 patients with MS,and rate was 37.74%.Between the observation group and the control group,there was of no statistically significant difference in terms including age,gender,smoking and drinking history,diagnostic typing,mood stabilizers,antipsychotic drugs(P>0.05).In the observation group compared the control group,the rate of family history of diabetes and the type of medication was sig-nificantly higher(χ2=7.799,t=9.704,P<0.05).Logistic regression analysis showed that family history of diabetes and type of medication were independent risk factors for comorbid MS of bipolar disorder.In the observation group,vi-sual space and executive function scores in the MOCA scale and total score was significantly lower compared with the control group(t=6.227,3.158,P<0.05).Conclusion The comorbid MS in bipolar disorder rate is higher,and cognitive function is poorer;Family history of diabetes and type of medication are independent risk factors for comorbid-ity of bipolar disorder with MS.

Bipolar disorderMetabolic syndromeDiabetesCognitive functionRisk factors

王湖、陈翔春、班春霞、孟美玲、于伟霞、曾奇佳

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上海市嘉定区精神卫生中心精神科(上海,201806)

双相情感障碍 代谢综合征 糖尿病 认知功能 危险因素

上海市嘉定区农业和社会事业科研项目计划

JDKW-2019-W06

2024

国际精神病学杂志
中南大学

国际精神病学杂志

CSTPCD
影响因子:1.426
ISSN:1673-2952
年,卷(期):2024.51(5)